摘要
目的 :比较APACHEⅢ和SAPSⅡ评分系统对ICU术后成人危重患者死亡风险的预测价值。方法 :随机选择ICU术后成人患者 10 0例 ,收集入ICU后首日与APACHEⅢ和SAPSⅡ评分有关的资料 ,分别依据Knaus法和LeGall法计算两种评分 ,同时计算死亡组、存活组以及单病种评分 ,并加以对比分析。结果 :术后首日APACHEⅢ和SAPSⅡ评分均与院内病死率呈正相关 ,评分越高 ,病死率越高。死亡组两种评分均明显高于存活组 (P <0 0 1)。单病种评分 :胰腺炎组评分最高 ,病死率最高 ;胃肠道恶性肿瘤组评分最低 ,病死率也最低。结论 :APACHEⅢ和SAPSⅡ系统均可有效地预测ICU术后成人危重患者死亡风险 ,在单病种评分上APACHEⅢ略优于SAPSⅡ。
Objective:To evaluate the ability of two prognostic systems to predict mortality in adult intensive care patient.Methods:100 adult postoperative intensive care patients were randomly assigned to the study.The clinical data of the first day in ICU were collected and calculated by Knaus and LeGall methods and comparative analysis was performed.Results:The assessment of APACHEⅢ and SAPSⅡ was positively correlated with hospital mortality.The assessment of APACHEⅢ and SAPSⅡ predictions in death group was significantly higher than those in survival grup( P< 0 01).With two prognostic systems the scores and mortality ratios were the highest in pancreatitis patients and the lowest in the patients with gastrointestinal malignant tumor.Conclusion:APACHEⅢ and SAPSⅡ prognostic systems can be effectively applied in the prediction of mortality in adult postoperative intensive care patients.For certain diagnostic categories APACHEⅢ is some what better than SAPSⅡ prognostic system.
出处
《临床麻醉学杂志》
CAS
CSCD
2000年第5期230-232,共3页
Journal of Clinical Anesthesiology
